STAR PSYCHIATRIC SERVICES PC (NPI# 1700138492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700138492 |
| Entity Type | Organization |
| Organization Name | STAR PSYCHIATRIC SERVICES PC |
| Practice Address |
239 N Dixie Way South Bend IN 46637-3309 |
| Practice Telephone | 5742430112 |
| Mailing Telephone | 5742430112 |
| Enumeration Date | 2012-10-05 |
| Last Update Date | 2012-10-26 |
| Authorized Official Name | MR. KHUTB UDDIN (OWNER) |
| Authorized Official Telephone | 5742430112 |
| Authorized Official Credential | M.D.PHD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
239 N DIXIE WAY |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46637-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336234756 | Khutb Mohammed Uddin | Psychiatry & Neurology | 239 N Dixie Way, South Bend, IN 46637-3309 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851715155 | Rachel Cundiff | Pharmacist | 52482 Sr 933 N, South Bend, IN 46637 | 2014-02-07 |
| 1821427857 | Hancock Regional Hospital | Skilled Nursing Facility | 52565 Sr 933, South Bend, IN 46637 | 2013-11-12 |
| 1437587854 | Triple L Associates | Durable Medical Equipment & Medical Supplies | 227 Dixie Way North, Suite 110, South Bend, IN 46637 | 2013-10-22 |
| 1104251479 | Tao Bai | Pharmacist | 52482 State Rd 933, South Bend, IN 46637 | 2013-09-05 |
| 1801152210 | Richard James Holloway | Urology | 18799 Arapaho Ln, South Bend, IN 46637 | 2012-04-10 |
| 1255613618 | Angela Taylor | Pharmacist | 52482 St Rd 933 N, South Bend, IN 46637 | 2011-09-12 |
| 1831345248 | Cherlyn Po | Occupational Therapist | 52654 N Ironwood Rd, South Bend, IN 46637 | 2008-08-18 |
| 1164599304 | Decatur County Memorial Hospital | Alzheimer Center (Dementia Center) | 18325 Bailey Ave, South Bend, IN 46637 | 2006-11-30 |
| 1831572478 | Patrick Kelly | Occupational Therapy Assistant | 52565 Sr 933, South Bend, IN 46637 | 2015-07-01 |
| 1083262992 | Francesca E Udoh | Nurse Practitioner | 51875 Whitestable Ln, South Bend, IN 46637-1371 | 2019-09-04 |
| Find all providers in zip 46637 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558794206 | Frances | Psychiatry & Neurology | 219 N Dixie Way, Suite 135, South Bend, IN 46637-3369 | 2013-08-16 |
| 1114189305 | Ahmed Zakria Elmaadawi | Psychiatry & Neurology | 707 N Michigan St Ste 400, South Bend, IN 46601-1071 | 2008-06-27 |
| 1700090677 | Jennifer S. Knapp | Psychiatry & Neurology | 3220 E Jefferson Blvd, South Bend, IN 46615-3028 | 2007-05-10 |
| 1134206576 | Kearn David Hinchman | Psychiatry & Neurology | 53779 Generations Drive, Suite 1, South Bend, IN 46635 | 2006-11-01 |
| 1336234756 | Khutb Mohammed Uddin | Psychiatry & Neurology | 239 N Dixie Way, South Bend, IN 46637-3309 | 2006-10-03 |
| 1053405779 | Brian K Esch | Psychiatry & Neurology | 218 W. Washington St., Suite 430, South Bend, IN 46601 | 2006-10-03 |
| 1659335636 | Mitchell Robert Goldstein | Psychiatry & Neurology | 107 N Eddy St, South Bend, IN 46617-2920 | 2006-04-14 |
| 1811985062 | Gregory Ernest Shadid | Psychiatry & Neurology | 2043 S Bend Ave # 233, South Bend, IN 46637-5686 | 2005-10-12 |
| 1619381993 | Julie Coyle | Psychiatry & Neurology | 707 N Michigan St Ste 400, South Bend, IN 46601 | 2014-06-16 |
| 1336574748 | Joan Louise Pontius | Psychiatry & Neurology | 219 N Dixie Way, Suite135, South Bend, IN 46637-3369 | 2013-09-05 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46637 |
Please comment or provide details below to improve the information on STAR PSYCHIATRIC SERVICES PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.